N. Stockenhuber et al., PRELIMINARY EXPERIENCE IN THE TREATMENT O F FEMUR FRACTURES WITH THE AO ASIF UNREAMED FEMORAL NAIL/, Chirurg, 68(7), 1997, pp. 718-726
The unreamed femoral nail (UFN) system, with its numerous proximal int
erlocking options, allows a minimal invasive surgical procedure for th
e treatment of nearly all femoral fracture patterns, Sixty-six fractur
es, 5 cases of osteolysis or pathologic fractures, 2 limb shortenings
and 1 lengthening (monorail technique) and 3 cases of pseudarthrosis w
ere stabilised with the UFN from July 1994 to December 1996. The fract
ures were analysed according to the AO classification. We found 31 pol
ytrauma patients with an mean ISS of 21.8 and a mean PTS of 25.4. Most
of the multiply injured patients (n = 26) were stabilised with the UF
N primarily, Follow-up of 44 patients ranged from 3 to 18 months posto
peratively. According to our clinical and radiological score the resul
ts were excellent in 34 % of cases good in 36.3 %, poor in 20.4 % and
bad in 9 %. Average fracture healing time was about 9.8 weeks.